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    ComplaintsforRehab Authority, LLC

    Physical Therapist
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    Complaint Details

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    Complaint Status
    Complaint Type
    • Complaint Type:
      Service or Repair Issues
      Status:
      Resolved
      This a **************** clinic, my Dr sent a referral to them, they called me and I asked if they are in network with my insurance and the lady said yes. When I went for my first appointment I was told they are not in network with my insurance and I agreed to be a cash customer, my first visit was $120. I made one more appointment and I paid $100 for that visit. I told the lady at the front desk that even though I am paying cash I cant afford the session any more, I asked if I owe any more money and she said no. Now their billing department is calling saying I owe around $400 something and that is because they sent my visits to my insurance, even though I asked more than once not to go through my insurance, and that is because I will be paying their cash rate. Billing department said if I dont pay they will send it to collections. I have a voicemail from the lady at the front desk saying that my visits will be $100 each. Im trying to call my insurance to let them know I didnt authorize the PT office to use my insurance.How can you help me?************************* **********.

      Business response

      08/13/2024

      In response to Complaint ID ********, we have reviewed this account in full. There was miscommunication between our office and the patient.**************** stated that she wanted to pay out of pocket for services rendered but provided her insurance on the day of her visit to be verified. Our office did confirm we were Out of Network with her insurance but due to a clerical mistake, her insurance was not deactivated and was billed in error. The patients claims were processed towards the Out of Network benefits and due to this, the patient received statements in error.


      On 7/26/2024, the patient reached out to our billing department,and we were able to assist her and resolve the issue. We rebilled her claims to her insurance to void them and updated her account to the appropriate cash rate agreed upon. The patients account was corrected on the same day leaving her with no additional balances owed and we emailed her a reply confirming this was completed after the call for her records. Per this call and email, we had resolved the issue with the patient. We also called the patient on 8/13/2024 and confirmed that she was satisfied with the resolution on 7/26/2024 and required no additional assistance.


      Please contact us with any further questions.

      Customer response

      08/16/2024

       
      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

      Sincerely,

      *************************
    • Complaint Type:
      Order Issues
      Status:
      Unanswered
      I had both knees replaced last year, 1/11/23 and 3/8/23. I have ********************** Shield with a maximum out of pocket of $3000.00. I reached this maximum out of pocket with the first surgery by the end of January 2023 yet they claim I owe for a charge of $402.00 from the end of March 2023. I had reached my maximum out of pocket 2 months prior to this. I have all of the documentation proving Id paid $3000.00 in medical bills during the first surgery, and subsequent therapy, and therefore not required to pay annything further out of pocket for 2023. Ive written them and provided proof but to no avail it seems. I want a notice from them this issue is settled.

      Customer response

      03/08/2024

      Hi, the documentation I uploaded from Rehab Authority, LLC. has an address in ********, ** that is a P.O. Box, which is what I assume is used to avoid complaints. Their full name and physical address is:

      Rehab Authority, LLC. 
      **************************************************************************

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